Adjustment disorder

Jump to navigation Jump to search

For patient information click here

Adjustment disorder
ICD-10 F43.2
ICD-9 309
DiseasesDB 33765
MedlinePlus 000932
MeSH D000275

WikiDoc Resources for Adjustment disorder

Articles

Most recent articles on Adjustment disorder

Most cited articles on Adjustment disorder

Review articles on Adjustment disorder

Articles on Adjustment disorder in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Adjustment disorder

Images of Adjustment disorder

Photos of Adjustment disorder

Podcasts & MP3s on Adjustment disorder

Videos on Adjustment disorder

Evidence Based Medicine

Cochrane Collaboration on Adjustment disorder

Bandolier on Adjustment disorder

TRIP on Adjustment disorder

Clinical Trials

Ongoing Trials on Adjustment disorder at Clinical Trials.gov

Trial results on Adjustment disorder

Clinical Trials on Adjustment disorder at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Adjustment disorder

NICE Guidance on Adjustment disorder

NHS PRODIGY Guidance

FDA on Adjustment disorder

CDC on Adjustment disorder

Books

Books on Adjustment disorder

News

Adjustment disorder in the news

Be alerted to news on Adjustment disorder

News trends on Adjustment disorder

Commentary

Blogs on Adjustment disorder

Definitions

Definitions of Adjustment disorder

Patient Resources / Community

Patient resources on Adjustment disorder

Discussion groups on Adjustment disorder

Patient Handouts on Adjustment disorder

Directions to Hospitals Treating Adjustment disorder

Risk calculators and risk factors for Adjustment disorder

Healthcare Provider Resources

Symptoms of Adjustment disorder

Causes & Risk Factors for Adjustment disorder

Diagnostic studies for Adjustment disorder

Treatment of Adjustment disorder

Continuing Medical Education (CME)

CME Programs on Adjustment disorder

International

Adjustment disorder en Espanol

Adjustment disorder en Francais

Business

Adjustment disorder in the Marketplace

Patents on Adjustment disorder

Experimental / Informatics

List of terms related to Adjustment disorder

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

Overview

Adjustment disorder refers to a psychological disturbance that develops in response to a stressor. Adjustment disorders are caused by specific sources of stress, such as severe personal crisis (divorce, death of loved one, recent abuse, recent job changes) or major unexpected negative events (tornado or fire destroys a person's home). The usual symptoms mimic depression, anxiety, or sleep disorder; however the disturbance disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder.

Differential Diagnosis

Epidemiology and Demographics

Prevalence

Adjustment disorder is a common condition. The prevalence of adjustment disorder is:

  • 5,000-20,000 per 100,000 (5-20%) in the outpatient mental health treatment setting.
  • Up to 50,000 per 100,000 in the hospital psychiatric consultation setting of the overall population.[1]

Risk Factors

  • Stressors (divorce, death of loved one, recent abuse, recent job changes)[1]
  • Major unexpected negative events (tornado or fire destroys a person's home)

Natural History, Complications and Prognosis

Adjustment disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder.

Diagnosis

Diagnostic Criteria

DSM-V Diagnostic Criteria for Adjustment Disorder[1]

  • A.The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s).

AND

  • B.These symptoms or behaviors are clinically significant, as evidenced by one or both of the following:
  • 1. Marked distress that is out of proportion to the severity or intensity of the stressor,taking into account the external context and the cultural factors that might influence symptom severity and presentation.
  • 2.Significant impairment in social, occupational, or other important areas of functioning.

AND

  • C.The stress-related disturbance does not meet the criteria for another mental disorder and is not merely an exacerbation of a preexisting mental disorder.

AND

  • D.The symptoms do not represent normal bereavement.

AND

  • E.Once the stressor or its consequences have terminated, the symptoms do not persist for more than an additional 6 months.

Specify whether:

  • With depressed mood: Low mood, tearfulness, or feelings of hopelessness are predominant.
  • With anxiety: Nervousness, worry, jitteriness, or separation anxiety is predominant.
  • With mixed anxiety and depressed mood: A combination of depression and anxiety is predominant.
  • With disturbance of conduct: Disturbance of conduct is predominant.
  • With mixed disturbance of emotions and conduct: Both emotional symptoms (e.g., depression, anxiety) and a disturbance of conduct are predominant.
  • Unspecified: For maladaptive reactions that are not classifiable as one of the specific subtypes of adjustment disorder.

Symptoms

The usual symptoms of adjustment disorder mimic depression, anxiety, or sleep disorder.

References

  1. 1.0 1.1 1.2 1.3 Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.